HomeMy WebLinkAboutSign Permit 97-085 Temp
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City of Prior L AUG 2 1 \\@
APPLICATION FOR SI
Whi(f71r~~icant
Yellow - City
ermit No.
DIRECTIONS: Spaces numbered I thru 10 must be filled in before permit is issued
(Please print or type, and sign where required
1. PARCEL NO. OF PROPERTY:
ex 5 " CJ D ]-O..Ff-J
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2. APPLICANT: (NAME) (ADDRESS) , (PHONE) {PleJ-
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3. OWNER: (NAME) (ADDRESS) (PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
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N: TEMPORARY (21 DA Y MAXIMUM DISPLA l) PERMANENT (WALVMARQUEE/AIVIVING/FREESTANDlNG)
BalfoOlI Banner* usiness*Cllangea e opy Signs 'Construction Signs*I1lumlnated Signs 'Institutional Signs*Lake Service Signs *
Multiple Residential Nameplate Signs 'On-Premi.\'e Directional Signs 'Permanent '''7ndolV Sign *Portable Sign *Subdil'ision Identification Signs
6. SIGN DIMENSIONS
(square feet) (Height)
(Width)
(Depth)
10. Estimated Value of Sign J.;, t_JC
~7D'
11. Completion Date --=B I i 97
30 III.. LL_ \ 1.. ~'{ ,
7. TYPE OF CONSTRUCTION
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8. PROPOSED DISPLA Y DATES (if applicable) J/'A 0/c~J. - (,h
f-J .J;"j 7 ,7"/ Ie; -7
SIGN PERMITS WILL NOT BE PROCESSED IF THEY ARE INCOMPLETE
I hereby certify that I have furnished information on this applicati{1n which is, to the best of illY knowledge, true and correct. I also certify that I am the owner
or authorizeu agcnt leJf thc abovc-mcntioned propcrty, and that all construction will conform to all cxisting state and local laws and will proceed in accordance
with submittcd plans. I am aware that the City Planncr can revokc this pcrmit for just causc. Furthermore, I hereby agree that City Officials or a designee
thereor may enter upon the property to,per rill necdcd insP;>5ions.
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SIGNATURE OF PROPERTY OWNER/AGENT
B ~ \\ -'1"
DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
__~11Pleted Application
Scale Drawing showing location of sign
~ans and Specs ,..-,'L)
Permit ree $ J S - (Permit fee is set
at time of application according to approved schedule)
This Application b~omes your ign Permit when approved.
BY( / . V1uVV
City Planner or dcsignee
Datc
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This is to ccrtifv thnt thc rcqucst in the above application and nccoll1panying documents is in accordance with the City Sign Ordinance and may proceed as
requested. This document. when signed by the City Planncr or designee constitutes a temporary Certificate of Zoning cOlllpliance nnd nllows construction to
COnlll1cnCC,
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24 I lour Notice for All Inspedtions
,147.4230 liom 9:00 a.m. - lO.OO a.m.
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Spccial Conditions .__1/,)-$ t-~~
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the sum of
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
RECEIPT # 31412
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DATE: c-I/$i17
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/,Receipt Clerk for the City of Prior Lake
BUILDING PERMIT #
BUILDING PERMIT #
1,200.00
700.00
1,500.00
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb Pmt pp#
Mech Pmt mc#
Mech Pmt mc#
Swr/Wtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
Swr/Wtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
Building Permit Fee
Plan Check Fee
State Surcharge
Plmb Pmt pp#
Mech Pmt mc#
(Heating only - $65.00)
(Htg & Air - $100.00)
(Fireplace - $40.00)
(Air - $40.00)
Swr/Wtr Pmt sw #
Other
Total
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